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General NPI Number Information
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NPI Number | 1215487178
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Entity Type | Individual
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Provider Name | MELISSA MCKINNEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 1801 NE 123RD ST STE 415
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2885
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Country | US
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Telephone | 305-935-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 COLLINS AVE APT 411
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City | MIAMI BEACH
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State | FL
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Zip | 33141-2936
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Country | US
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Telephone | 609-217-7300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 9431956
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License Number State | FL
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